{
"Npi": {
"NPI": "1386930949",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MIAMI VETERANS HOSPITAL",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1201 NW 16TH ST",
"SecondLineMailingAddress": "SUITE C808 ROUTING: 112",
"MailingAddressCityName": "MIAMI",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33125-1624",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-575-3166",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1201 NW 16TH ST",
"SecondLinePracticeLocationAddress": "SUITE C808 ROUTING: 112",
"PracticeLocationAddressCityName": "MIAMI",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33125-1624",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "305-575-3166",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/22/2011",
"LastUpdateDate": "06/22/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROTHENBERG",
"AuthorizedOfficialFirstName": "GARY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "RESIDENCY DIRECTOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPM",
"AuthorizedOfficialTelephoneNumber": "305-575-7000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "284300000X",
"TaxonomyName": "Special Hospital",
"LicenseNumber": "PR219",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}